| NPI | 1114498045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-06-16 |